CARLOS E LICON M.D.
NPI 1972689644
Family Medicine in San Antonio, TX

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221(210) 334-3760(210) 923-6355 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos E Licon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS E LICON M.D. (NPI 1972689644) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (M4290) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2003).

NPPES Registry Identity

NPI1972689644
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS E LICONCredential: M.D.
Location Address3750 COMMERCIAL AVESan Antonio, TX 78221-3117
Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 334-3700 · Fax (210) 922-0162
Fax(210) 923-6355
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2003
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1972689644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M4290
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3750 COMMERCIAL AVE, San Antonio, TX 78221

Other Identifiers 4

Medicaid184983801TX
OtherX0148767TX · Dps
Other8G8247TX · Bcbs
Other94846TX · Carelink

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carlos E Licon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981706843
PECOS Enrollment IDI20070222000720
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Dental Hygienist
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Dentist (General Practice)
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Nurse Practitioner
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Pediatrics
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Clinic/Center (Federally Qualified Health Center (FQHC))
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Nurse Practitioner (Family)
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221
Nurse Practitioner (Pediatrics)
3750 COMMERCIAL AVE
SAN ANTONIO, TX 78221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Licon's NPI number?

The NPI number for Carlos Licon is 1972689644. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Carlos Licon located?

Carlos Licon practices at 3750 Commercial Ave, San Antonio, TX 78221. The listed phone number is (210) 334-3760.

What is Carlos Licon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlos Licon enrolled in Medicare?

Yes. Carlos Licon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carlos Licon accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Carlos Licon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Licon was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.